Subacute thyroiditis

I-Subacute thyroiditis ukusabela kokuzivikela komzimba kwendlala yegilo evame ukulandela ukutheleleka okuphezulu okuphefumulayo.

Indlala yegilo ikhona entanyeni, ngenhla nje lapho kuhlangana khona amathambo akho ophakathi nendawo.

I-Subacute thyroiditis yisimo esingajwayelekile. Kucatshangwa ukuthi kungumphumela wokutheleleka ngegciwane. Lesi simo sivame ukwenzeka emasontweni ambalwa ngemuva kokutheleleka ngegciwane endlebeni, esonweni, noma emphinjeni, okufana nezinsumpa, umkhuhlane noma umkhuhlane ovamile.

I-Subacute thyroiditis yenzeka kakhulu kwabesifazane abaneminyaka ephakathi nendawo abanezimpawu zokutheleleka okuphathelene nokuphefumula okuphezulu kwegciwane enyangeni edlule.

Uphawu olusobala kakhulu lwe-subacute thyroiditis ubuhlungu entanyeni obangelwa yindlala yegilo evuvukile futhi evuvukile. Kwesinye isikhathi, ubuhlungu bungasabalala (bukhanye) emhlathini noma ezindlebeni. Indlala yegilo ingaba buhlungu futhi ivuvuke amasonto noma, ezimweni ezingavamile, izinyanga.

Ezinye izimpawu zifaka:

• Ubumnene lapho kufakwa ingcindezi emnene endlala yegilo
• Ukugwinya okunzima noma okubuhlungu, ukushaqeka
• Ukukhathala, ukuzizwa ubuthakathaka
• Imfiva

Indlala yegilo evuthayo ingakhipha i-hormone yegilo eningi kakhulu, ibangele izimpawu ze-hyperthyroidism, kufaka phakathi:

• Ukuhamba kwamathumbu kaningi
• Ukulahleka kwezinwele
• Ukungabekezelelani kokushisa
• Izikhathi zokuya esikhathini ezingajwayelekile (noma ezilula kakhulu) kwabesifazane
• Ukushintsha kwemizwelo
• Ukwesaba, ukuthuthumela (ukuthuthumela kwezandla)
• Ukushaya kancane
• Ukujuluka
• Ukwehla kwesisindo, kepha ngokwanda kwesifiso sokudla

Njengoba indlala yegilo iphola, ingakhipha i-hormone encane kakhulu, ibangele izimpawu ze-hypothyroidism, kufaka phakathi:

• Ukungabekezelelani okubandayo
• Ukuqunjelwa
• Ukukhathala
• Izikhathi zokuya esikhathini ezingajwayelekile (noma ezisindayo) kwabesifazane
  
• Ukuzuza kwesisindo
• Isikhumba esomile
• Ukushintsha kwemizwelo

Umsebenzi wendlala yegilo uvame ukubuyela kokujwayelekile ezinyangeni ezimbalwa. Ngalesi sikhathi ungadinga ukwelashwa kwe-thyroid yakho engasebenzi kahle. Ezimweni ezingavamile, i-hypothyroidism ingahlala unomphela.

Ukuhlolwa kwelebhu okungenziwa kufaka phakathi:

• Izinga le-thyroid stimulating hormone (TSH)
• I-T4 (i-hormone yegilo, i-thyroxine) nezinga le-T3
• Ukuthathwa kwe-iodine enemisebe
• Izinga le-Thyroglobulin
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• C amaprotheni asebenzayo (CRP)
• I-ultrasound yegilo

Kwezinye izimo, i-biopsy yegilo ingenziwa.

Umgomo wokwelashwa ukunciphisa ubuhlungu nokwelapha i-hyperthyroidism, uma kwenzeka. Izidakamizwa ezifana ne-aspirin noma i-ibuprofen zisetshenziselwa ukulawula ubuhlungu ezimweni ezincane.

Amacala abucayi angadinga ukwelashwa kwesikhashana ngezidakamizwa ezinciphisa ukuvuvukala nokuvuvukala, njenge-prednisone. Izimpawu ze-thyroid engaphezulu ziphathwa ngesigaba semithi ebizwa nge-beta-blockers.

Uma i-thyroid ingasasebenzi ngesikhathi sesigaba sokubuyiselwa, kungadingeka ukushintshwa kwehomoni yegilo.

Isimo kufanele sizithuthukise sisodwa. Kodwa ukugula kungathatha izinyanga. Izinkinga zesikhathi eside noma ezinzima azivamile ukwenzeka.

Isimo asisulelani. Abantu abakwazi ukukubamba kuwe. Akuzuzwa njengefa emindenini njengezimo ezithile ze-thyroid.

Shayela umhlinzeki wakho wezempilo uma:

• Unezimpawu zalesi sifo.
• Une-thyroiditis futhi izimpawu azithuthuki ngokwelashwa.

Imishanguzo evimbela ukutheleleka ngegciwane efana nomkhuhlane kungasiza ekuvimbeleni i-subacute thyroiditis. Ezinye izimbangela zingavikeleka.

De Quervain’s thyroiditis; Ukufaka i-thyroiditis engasebenzi Iseli elikhulu le-thyroiditis; I-subacute granulomatous thyroiditis; Hyperthyroidism - subacute thyroiditis

• Izindlala ze-Endocrine
• Indlala yegilo

Ama-Guimaraes VC. I-Subacute ne-Riedel's thyroiditis. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 87.

IHollenberg A, iWiersinga WM. Izinkinga ze-Hyperthyroid. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 12.

ULakis ME, uWiseman D, uKebebew E. Ukuphathwa kwe-thyroiditis. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 764-767.

UTallini G, uGiordano TJ. Indlala yegilo. Ku: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. URosai no-Ackerman's Pathology Yokuhlinzwa. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2018: isahluko 8.